Article
Medicine, General & Internal
Javier de-Miguel-Diez, Rodrigo Jimenez-Garcia, Valentin Hernandez-Barrera, Jose M. de-Miguel-Yanes, David Carabantes-Alarcon, Ana Lopez-de-Andres
Summary: The study shows that the incidence of hospital-acquired pneumonia is significantly higher in COPD patients compared to non-COPD patients in Spain, mainly due to non-ventilator-associated pneumonia. The incidence is higher in men than in women, with no significant difference in in-hospital mortality rates between COPD and non-COPD patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Multidisciplinary Sciences
Oliver Wolffers, Martin Faltys, Janos Thomann, Stephan M. Jakob, Jonas Marschall, Tobias M. Merz, Rami Sommerstein
Summary: Automated surveillance for ventilator-associated events (VAE) based on CDC criteria demonstrated high sensitivity and specificity compared to a gold standard in a validation sample. The study revealed a decrease in yearly VAE incidence rate ratio over time and highlighted the feasibility and reliability of automated VAE detection for long-term institutional monitoring.
SCIENTIFIC REPORTS
(2021)
Article
Public, Environmental & Occupational Health
Xiaomeng Yi, Xuxia Wei, Mi Zhou, Yingying Ma, Jinfeng Zhuo, Xin Sui, Yuling An, Haijin Lv, Yang Yang, Huimin Yi
Summary: In two intensive care unit settings in China, the implementation of a comprehensive unit-based safety program (CUSP) effectively reduced the incidence of ventilator-associated pneumonia (VAP) and other infections in patients receiving mechanical ventilation. It also prolonged the time until VAP occurrence, reduced the days of antibiotic use for VAP, shortened the length of stay in the ICU and hospital, and enhanced safety culture awareness.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Critical Care Medicine
Charles-Herve Vacheron, Alain Lepape, Anne Savey, Anais Machut, Jean Francois Timsit, Philippe Vanhems, Quoc Viet Le, Julia Egbeola, Maelle Martin, Virginie Maxime, Paul-Simon Pugliesi, Delphine Maucort-Boulch, Arnaud Friggeri
Summary: This study found a higher incidence of ventilator-associated pneumonia among COVID-19 patients compared to the general ICU population. The microbiological ecology and resistance pattern were similar between the two groups, except for a lower rate of methicillin-resistant Staphylococcus aureus in the COVID-19 exposed patients.
CRITICAL CARE MEDICINE
(2022)
Article
Medicine, General & Internal
Jose M. de Miguel-Yanes, Ana Lopez-de-Andres, Rodrigo Jimenez-Garcia, Valentin Hernandez-Barrera, Javier de Miguel-Diez, David Carabantes-Alarcon, Napoleon Perez-Farinos, Julia Warnberg
Summary: Men in Spain had higher incidence rates of community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP) than women from 2016 to 2019. Men admitted for CAP and men who developed HAP had higher in-hospital mortality rates than women.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Critical Care Medicine
Anahita Rouze, Ignacio Martin-Loeches, Pedro Povoa, Demosthenes Makris, Antonio Artigas, Mathilde Bouchereau, Fabien Lambiotte, Matthieu Metzelard, Pierre Cuchet, Claire Boulle Geronimi, Marie Labruyere, Fabienne Tamion, Martine Nyunga, Charles-Edouard Luyt, Julien Labreuche, Olivier Pouly, Justine Bardin, Anastasia Saade, Pierre Asfar, Jean-Luc Baudel, Alexandra Beurton, Denis Garot, Iliana Ioannidou, Louis Kreitmann, Jean-Francois Llitjos, Eleni Magira, Bruno Megarbane, David Meguerditchian, Edgar Moglia, Armand Mekontso-Dessap, Jean Reignier, Matthieu Turpin, Alexandre Pierre, Gaetan Plantefeve, Christophe Vinsonneau, Pierre-Edouard Floch, Nicolas Weiss, Adrian Ceccato, Antoni Torres, Alain Duhamel, Saad Nseir
Summary: The incidence of ventilator-associated lower respiratory tract infections (VA-LRTI) is significantly higher in patients with SARS-CoV-2 infection compared to those with influenza pneumonia or no viral infection. Gram-negative bacilli, mainly Pseudomonas aeruginosa, Enterobacter spp., and Klebsiella spp., were responsible for a large proportion of VA-LRTI episodes.
INTENSIVE CARE MEDICINE
(2021)
Article
Critical Care Medicine
Xin Ding, Xudong Ma, Sifa Gao, Longxiang Su, Guangliang Shan, Yaoda Hu, Jieqing Chen, Dandan Ma, Feng Zhang, Wen Zhu, Guoqiang Sun, Xiaoyang Meng, Lian Ma, Xiang Zhou, Dawei Liu, Bin Du
Summary: This study investigates the effects of ICU quality control indicators on the incidence rate and mortality of ventilator-associated pneumonia (VAP) in China in 2019. The results show that process factors are associated with mortality, while structural factors are not. The study highlights the importance improving process factors in the ICU.
Editorial Material
Dentistry, Oral Surgery & Medicine
Niamh Kelly, Ikhlas El Karim
Summary: This systematic review and meta-analysis indicated that enhanced oral care provided by dental professionals significantly reduced the incidence of NVAP. The evidence was derived from a limited number of studies with notable heterogeneity.
JOURNAL OF EVIDENCE-BASED DENTAL PRACTICE
(2021)
Article
Public, Environmental & Occupational Health
Jennifer Watkins, Cindy Gross, Dominique Godfrey-Johnson, Katherine Allen-Bridson, Joan N. Hebden, Marc-Oliver Wright
Summary: This case study focuses on applying NHSN surveillance definitions for Pneumonia, Ventilator-associated event, and Bloodstream infections to a patient with COVID-19, aiming to standardize application among IPs and ensure accurate determination of HAI events.
AMERICAN JOURNAL OF INFECTION CONTROL
(2021)
Article
Nursing
Eman Arafa Hassan, Suad Elsayed Abdelmotalb Elsaman
Summary: Compliance with the ventilator bundle was found to be associated with a decreased risk of ventilator-associated events (VAEs) occurrence. Mechanically ventilated patients had a lower likelihood of experiencing VAEs when receiving the ventilator bundle.
Article
Radiology, Nuclear Medicine & Medical Imaging
Monica Miranda-Schaeubinger, Kandice Garcia Tomkins, Ethan Larsen, Valerie Rigby, Ammie M. White, Raymond W. Sze, David B. Larson
Summary: The study aimed to describe the results of a multi-institutional quality improvement program conducted virtually. The program used a team-based, project-based improvement approach and was initially planned to be replicated on-site at two institutions. Due to the COVID-19 pandemic, it was converted to a multi-institutional virtual format. The virtual program began in July 2020 and ended in December 2020, with 10 training sessions every 2 weeks for a total of 18 weeks.
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
(2023)
Article
Medicine, General & Internal
Miriam Dibos, Stefanie Julia Haschka, Rami Abbassi, Jochen Schneider, Roland M. Schmid, Sebastian Rasch, Tobias Lahmer
Summary: This study aimed to investigate the impact of a structured, objective, microbiological monitoring program on the prognosis of COVID-19 patients with mechanical ventilation. The results showed that ventilator-associated pneumonia (VAP) was a common complication in COVID-19 patients. In contrast to previous studies, implementing a structured microbiological monitoring program did not increase the mortality rate of COVID-19 patients with bacterial coinfection or VAP. Therefore, standardized, objective microbiological screening can help detect coinfections and ventilator-associated infections, improve anti-infective therapy, and positively influence patient outcomes.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Immunology
Vu Quoc Dat, Lam Minh Yen, Huynh Thi Loan, Vu Dinh Phu, Nguyen Thien Binh, Ronald B. Geskus, Dong Huu Khanh Trinh, Nguyen Thi Hoang Mai, Nguyen Hoan Phu, Nguyen Phu Huong Lan, Tran Phuong Thuy, Nguyen Vu Trung, Nguyen Trung Cap, Dao Tuyet Trinh, Nguyen Thi Hoa, Nguyen Thi Thu Van, Vy Thi Thu Luan, Tran Thi Quynh Nhu, Hoang Bao Long, Nguyen Thi Thanh Ha, Ninh Thi Thanh Van, James Campbell, Ehsan Ahmadnia, Evelyne Kestelyn, Duncan Wyncoll, Guy E. Thwaites, Nguyen Van Hao, Le Thanh Chien, Nguyen Van Kinh, Nguyen Van Vinh Chau, H. Rogier van Doorn, C. Louise Thwaites, Behzad Nadjm
Summary: The study found that continuous cuff pressure control (CPC) using an automated electronic device did not reduce the incidence of ventilator-associated respiratory infection (VARI) in intubated patients compared to intermittent CPC.
CLINICAL INFECTIOUS DISEASES
(2022)
Article
Infectious Diseases
Ali Safavi, Shahram Molavynejad, Mahboobeh Rashidi, Marziyeh Asadizaker, Elham Maraghi
Summary: This study aimed to determine the effect of implementing infection control guidelines on the incidence of ventilator-associated pneumonia (VAP) in patients admitted to the intensive care unit (ICU). The results showed that the implementation of infection control guidelines could significantly reduce the incidence of VAP and its diagnostic indicators.
BMC INFECTIOUS DISEASES
(2023)
Article
Infectious Diseases
Stephen Poole, Alex R. Tanner, Vasanth V. Naidu, Florina Borca, Hang Phan, Kordo Saeed, Michael P. W. Grocott, Ahilanandan Dushianthan, Helen Moyses, Tristan W. Clark
Summary: In this study, the use of syndromic molecular point-of-care testing in patients with pneumonia resulted in more rapid results and identification of more pathogens compared to conventional testing. This approach improved the appropriate use of antimicrobial therapy and appeared to be safe.
JOURNAL OF INFECTION
(2022)